Organization
CLINICAL CARE NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO DIAZ (PRESIDENT/OWNER)
(786) 454-9844
Entity
Organization
Contact information
Practice address
2121 SW 3RD AVE, SUITE 500., MIAMI, FL 33129-1490
(786) 631-4335
(305) 631-2806
Mailing address
2121 SW 3RD AVE, SUITE 500., MIAMI, FL 33129-1490
(786) 631-4335
(305) 631-2806
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/08/2013
Last updated
07/01/2015
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